Provider Demographics
NPI:1225906159
Name:ANCILLA HEALTHCARE SERVICES
Entity type:Organization
Organization Name:ANCILLA HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMAECHI
Authorized Official - Middle Name:ROMANA
Authorized Official - Last Name:UZODIMMA
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA, MS
Authorized Official - Phone:832-991-7866
Mailing Address - Street 1:8011 ARLETTA ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77061-1301
Mailing Address - Country:US
Mailing Address - Phone:832-991-7866
Mailing Address - Fax:281-692-0049
Practice Address - Street 1:8011 ARLETTA ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77061-1301
Practice Address - Country:US
Practice Address - Phone:832-991-7866
Practice Address - Fax:281-692-0049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-23
Last Update Date:2025-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty